Review Of Systems

Front 1

Includes an overview of general health as well as symptoms related to each body system.

May be done in conjunction with the physical assessment.

Back 1

Review of Systems

Front 2

Follows a head-to-toe (cephalocaudal) approach and includes two types of questions:

Back 2

Sign or symptom related

Disease related

Front 3

Review of Systems

Back 3

General, Hair, Nails, Eyes,

Ears, Mouth , Throat and Neck,Breast and Axilla, Respiratory, Cardivascular and Peripheral Vasculature, Gastrointestinal, Urinary, Musculoskeletal, Neurologic, Psychological, Female Repro, Male repro, Nutrition, Endocrine, Lymph Nodes, Hematological,

Front 4

Patient's perception of general state of health at present, difference from usual state, vitality and energy levels, body odors, fever, chills and right sweats

Ask the patient to describe his general health

Back 4

General

Front 5

Inquire about alopecia, excessive growth of hair in unusual locations (hirsutism), use of chemicals on hair, dandruff, pediculosis, scalp lesions

Back 5

Hair

Front 6

Ask about change in nails such as splitting, breaking, thickened, texture change, onchomycosis

Back 6

Nails

Front 7

Ask about any experience of blurring of vision

Ask about visual acuity (use of eye glasses, contact lenses)

Ask about photophobia, excessive tearing, night blindness, diplopia, bloodshot eyes, pain, blind spots, flashing lights, halos around objects, floaters

Ask about any diagnosis of cataract, glaucoma or other eye problems

Loquire about use of sunglasses or any other protective eyewear

Back 7

Eyes

Front 8

Ask about the patient's method of cleaning his ears

Ask about hearing deficits, use of hearing aids, ear pain, phonophobia, discharges, vertigo, ringing in the ears (tinnitus), usual noise level, previous car infections, use of ear protection

Back 8

Ears

Front 9

Explore patient's dental habits (brushing, flossing, mouth rinses)

Ask about experiences of toothache, tooth abscesses, guin bleeding, difficulty chewing, sore tongue, change in taste, change in salivation

Back 9

Mouth

Front 10

Ask about changes in voice (hoarseness), experiences of sore throats, dysphagia, pain or stiffness of the neck

Inquire about possible thyroid problems, previous episodes of lymphadenopathy

Ask about possible experiences of tonsillectomy, adenoidectomy

Back 10

Throat and Neck

Front 11

Ask about experiences of pain or tenderness on breasts

Inquire about the presence of lumps or discharges, change in size or occurrence of dimpling along the breasts

Ask about previous diagnosis of benign breast disease or breast cancer

Back 11

Breast and Axilla

Front 12

Ask about previous experiences with respiratory problems such ashortness of breath, hemoptysis, cough,

Ask about previous diagnosis of pneumonia, emphysema, asthma, tuberculosis, frequent respiratory infections

Ask about previous exposure to TB

Ask about last chest x-ray or PPD and their results if applicable

Back 12

Respiratory

Front 13

Ask about experiences of paroxysmal nocturnal dyspnea, chest palpitations, edema, pains, palpitations, syncope, orthopnea, edema, cold or discoloured hands or felt, leg cramps, intermittent claudication

Ask about previous diagnosis of myocardial infarction, hypertension, valvular disease, thrombophlebitis, deep vein thrombosis

Inquire about last ECG and result if applicable

Back 13

Cardiovascular and Peripheral Vasculature

Front 14

Ask about change in eppetite, experiences of nausea, vomiting, diarthea, constipation, melena, rectal bleeding, hematemesis, change in stool color, flatulence, belching, regurgitation, heartburn, dysphagia, abdominal pain, jaundice

Ask about previous diagnosis of ascites, hemorrhoids, hepatitis, peptic ulcers, gallstones, gastrosophageal reflux disease, appendicitis, ulcerative colitis, Crohn's disease, diverticulitis, hernia

Ask about usual bowel habits

Back 14

Gastrointestinal

Front 15

Ask about changes in urine color and volume, experences of dysuria, hesitancy, urgency and frequency of urination, nocturia, polyuria, dribbling, loss of force in stream, bedwetting, incontinence of urinary retention, suprapubic pain, flank pain

Ask about previous dagnoses of kidney stones, urinary tract infections

Back 15

Urinary

Front 16

Ask about experiences such of joint stiffness, muscle pain, cramps, back pain, limitation of movement

Explore possible experiences of weakness, bone deformities, broken bones, dislocations, sprains, crepitus

Ask about previous dagnoses of gout, arthritis, osteoporosis, herniated disc

Back 16

Musculoskeletal

Front 17

Ask about experiences of headache, change in balance and coordination, loss of movement, change in sensory perception or feeling in an extremity, change in speech, change in smell, syncope, loss of memory, tremors, involuntary movements, loss of consciousness, seizures

Ask about previous diagnoses of head injury, vertigo, tic, paralysis, stroke

Back 17

Neurologic

Front 18

Ask about irritability, nervousness, tension, increased stress, difficulty concentrating, mode changes, suicidal thoughts, depression, anxiety, sleep disturbances

Back 18

Psychological

Front 19

Ask about previous diagnosis of infertility, sterilty

Ask about menopause age of ofset, duration, symptoms

number of children, type of delivery, complications

Ask about vaginal discharges, change in libido, pelvic pain, pan during intercourse, post.

Ask about menstruation, last menstrual period, menarche, regularity, duration, amount of bleeding, premenstrual sympronis, intermenstrual biceding, dysmenorrhea, menorthagia

Explore obstetrical data: number of pregnancies, number of miscartages or abortions,

Back 19

Female Reproduction

Front 20

Ask about changes in libido, pain during intercourse, age at onset of puberty, testicular or penile pain, penile discharge, erection problems

Ask about previous diagnosis of infertility or sterility, hernia, prostate problems

Back 20

Male Reproduction

Front 21

Ask about present weight, usual weight, desired weight, food intolerances, food likes end dislikes, caffeine intake, dietary habits

Back 21

Nutrition

Front 22

Look for or ask about exophthalmos

Ask about experiences of fatigue, change in size of head, hands or feet

Inquire about weight changes, heat and/or cold intolerances, excessive sweating, polydipsia, ployphagia, polyuria, changes in body hair distribution

Back 22

Endocrine

Front 23

Ask about any notes on lymph node enlargement or tenderness

Back 23

Lymph Nodes

Front 24

Ask about easy bruising or bleeding

Ask about previous diagnosis of anemia, sickle cell anemia

Ask about blood type, previous exposure to radiation

Back 24

Hematological